The TOTO ® Ultramax ® WASHLET ®+ S5 Low Profile One-Piece Elongated 1.28 GPF Universal Height Toilet is designed to conceal the WASHLET+ power cord and water supply hose for a seamless installation. WASHLET S5 features TOTO's technologically advanced EWATER+ ® system that cleans the wand, reducing the need for harsh cleaning chemicals. PREMIST ® wets the surface of the toilet bowl, aiding in the removal of waste and resulting in a better clean. WASHLET S5 is operated by a wireless remote with a 4-user memory storage to save preferred settings. WASHLET S5 features five spray settings, heated seat, a nightlight, and instantaneous water heating. The TOTO Ultramax features TOTO ’s TORNADO FLUSH ®, a hole-free rim design with dual-nozzles that creates a centrifugal washing action that assists in rinsing the bowl more efficiently. This version of the TOTO Ultramax includes CEFIONTECT ®, a layer of exceptionally smooth glaze that minimizes waste from sticking to the ceramic. This one-piece toilet is designed with Universal Height, allowing for a more comfortable seated position across a wide range of users. The Ultramax comes ready for install into a 12" rough-in. The Ultramax is ADA compliant and meets the standards for EPA WaterSense ® and CALGreen requirements. Features a left-hand chrome trip lever. Additional items needed for installation and use must be purchased separately: Wax ring, toilet mounting bolts, and water supply lines.